Summary

The purpose of this trial is to re-evaluate the potential role of diet in modulating
cardiovascular risk factors. If potent lipid-lowering effects through novel dietary
interventions can be demonstrated, then diet may again be seen as providing an alternative
to drug therapy in the primary prevention of cardiovascular disease.

Aims:

- To determine the percentage of lipid clinic attendees interested in making a serious
dietary change.

Advice focused on low-fat dairy and whole grain cerals together with fruit and vegetables and avoidance of the specific portfolio components along with red meats and snack foods.

control

Advice focused on low-fat dairy and whole grain cerals together with fruit and vegetables and avoidance of the specific portfolio components along with red meats and snack foods.

Primary Outcomes

Measure

Primary Outcome Measures Described Below

time frame:
January 2014

Secondary Outcomes

Measure

Secondary Outcome Measures Described Below

time frame:
January 2016 (anticipated)

Eligibility Criteria

Male or female participants at least 21 years old.

Inclusion Criteria:
- Men over the age of 21 years and postmenopausal women with mild-to-moderate
hypercholesterolaemia, for whom cholesterol lowering medications are being considered
- Body mass index <35 kg/m2.
- Treated by diet
- Alcohol intake < 14 drinks per week.
- Fasting plasma triglyceride (TG) concentration <4.5 mmol/l.
- Fasting plasma LDL cholesterol concentration > 4.1 mmol/l at diagnosis or within 30%
of their target levels based on risk
- Patients with previous adverse effects on statins (e.g. muscle pains) will also be
accepted if the physician responsible for their care considers it appropriate.
- Individuals who prior to cholesterol lowering therapy or after discontinuing
cholesterol lowering therapy are within 30% of their treatment LDL-C goals may be
permitted to enter the study with the approval of their responsible physician.
- Fit individuals who have had a myocardial infarction or cardiac bypass surgery in the
past will not be excluded. Their responsible physician will be asked to provide a
letter confirming their suitability for the study.
Exclusion Criteria:
- Premenopausal women will be excluded due to the fluctuation of blood lipids during
the menstrual cycle.
- Patients will be excluded if they are taking cholesterol medications at the start of
the study. However, with their physician's approval, those who wish to join but are
already taking cholesterol-lowering medications may join the study providing the
medications are stopped for one month before starting the study and throughout the
study.
- Patients will be excluded if they are taking cholesterol lowering natural health
products such as psyllium, red yeast rice, cholest, polycosanol etc. However, they
will be allowed to join the study if they are willing to discontinue these products
at least 2 weeks before the start of the study and throughout the study.
- Patients with uncontrolled high blood pressure will be excluded. The cut off for
raised blood pressure has been taken as > 140/90mmHg. Patients with systolic blood
pressure between 140-150mmHg and diastolic blood pressure between 90-95mmHg may be
accepted, since we have found that on the diet their blood pressures tend to be
lowered into the acceptable range. For patients in the above normal range (as
above), a letter will be required from the physician responsible for their care.
Patients will be excluded if they change the type or dose of their blood pressure
treatment during the study.
- Patients will be excluded if they are judged as having a likelihood of being
non-compliant with instructions for whatever reason. Those with low compliance to
lipid-lowering therapy will not be selected.
- Patients will be excluded if they have evidence or history of diabetes, renal
disease, liver disease or gastrointestinal disease. Patients will be excluded if
they have gross xanthoma or advanced premature cardiovascular disease since this
group may include hyper-absorbers of plant sterols.
- Individuals predisposed to hemorrhagic stroke (on the basis of untreated raised blood
pressure) will be excluded.
- Patients will be excluded from the study if they have a history of any form of cancer
apart from non melanoma skin cancer or are considered at high risk for cancer.
However, if such patients wish to join the study, we would like them to obtain the
approval of their oncologist or responsible physician prior to enrollment in the
study. If the study oncologist does not believe it is safe to enroll the
participant, the patient will be excluded from the study.

Additional Information

Official title

Assessment of the Practical Application, Acceptability and Effectiveness of a Portfolio Diet in Reducing Serum Cholesterol

Principal investigator

David J.A. Jenkins, MD, PhD

Description

This is a randomized parallel study with three experimental arms of 6 months duration to
estimate the effect of the portfolio diet under real world conditions at two levels of
advice intensity. Every effort will be made to obtain study blood samples and other data
from all subjects at the designated times regardless of compliance with the dietary aspects
of the study protocol. All subjects will be used in the intent-to-treat analysis.
Four Canadian Centers will be involved: Vancouver, Toronto, Manitoba and Quebec City. The
study will be partially blinded. The investigators and technical staff will be blinded but
the dietitians and the patients will not be, owing to the differences in taste and
appearance of the study foods. The blinding of physicians at clinic visits is likely to be
difficult due to the requirement to ask questions related to diet. All patients referred to
the four collaborating clinics will be asked whether they would be prepared to modify their
diet if that may mean they might lower their blood cholesterol without the use of drugs.
Those who checked the box for "No" or "only modest dietary change" would not be considered
further. Those who checked the box for "significant" or "radical dietary change" would be
invited to participate, providing they are not at high risk (<20% 10 yr risk) of CHD and
were within 30% of their target LDL-C concentrations according to current Canadian Working
Group recommendations i.e., those who would normally be considered for a preliminary test of
diet. The three groups would be randomized to either a low saturated fat, low cholesterol
diet (Step 2) or a portfolio diet both given as routine clinical advice at week zero with
follow up at 3 and 6 months or more intensive advice reinforced (intensive portfolio) at
clinic visits at 2, 4, 8, 12, 16 and 20 weeks. In the routine portfolio, the advice will
therefore consist of two half hour sessions with the dietitian (0 and 12 weeks), compared to
seven for the intensive portfolio (0, 2, 4, 8, 12, 16 and 20 weeks). Prior to starting each
diet the nature of the diet will be explained to the participants and instruction on
achieving diet goals will be given. Follow-up visits will be used to go over the subjects'
diet record, which they have recorded over the previous 7 days, and reinforce the original
dietary advice. The intensive portfolio participants will therefore receive five additional
instructional and assessment follow up visits during the course of the study.
Trial treatments: The portfolio dietary advice will conform to current therapeutic diets
appropriate for hypercholesterolemic subjects (<7% of energy saturated fat, <200 mg/d
cholesterol) plus the combination of viscous fibers, soy protein, plant sterols and almonds.
The portfolio diet plan will include foods which contribute 8 g/1000 kcal viscous fiber as
β-glucan (oats, barley, oat bran breads and soups) and psyllium (cereal), 1 g plant
sterol/1000 kcal diet (in sterol margarine), 22 g soy protein/1000 kcal (soy burgers, dogs,
links, other meat analogues, milks, yogurts and cheese) and 22 g almonds/1000 kcal. The
Step 2 therapeutic diet will encourage a similar macronutrient profile through the use of
cereal fibers and whole grains. All diets will emphasize fruit and vegetable intakes (5-10
servings/d) according to current recommendations. Participants will be instructed on how to
select and follow these diets and will be provided with only the margarine component of the
portfolio and Step 2 therapeutic diets. The Step 2 therapeutic diet group will be encouraged
to follow a diet of whole grain foods (brown rice, whole wheat breads, muffins and breakfast
cereals), low saturated fat meat and dairy foods with a control margarine. The degree to
which the portfolio diet can be made effective after routine instruction compared to more
intensive instruction is the key issue in this study.
Duration of Subject participation and sequence and duration of all trial periods: Subject
participation will start with the screening visit followed by a week minus 2 visit 4 to 6
weeks later. The week minus 2 visit will be followed by week 0 visit. Study duration is for
6 months, after which participants have the option of continuing for another 6 months.
Diets will be self-selected, low-fat, low-cholesterol, NCEP Step 2 diets (<7% saturated
fats, <200 mg dietary cholesterol/d). The test and control margarines will be provided
free. The oat bran bread will be provided at cost. The control diet will encourage a low
saturated fat intake (<7%) by the use of low fat dairy products and egg substitutes
(Fleischmann's egg beaters). Fiber will be increased to 17 g/1000 kcal recommending
insoluble cereal fiber and whole meal or whole grain flour cereal products which are lipid
neutral but conform to current diet guidelines for fiber intake and appear to offer
protection from CHD. This will ensure equal total fiber intake on the NCEP and Portfolio
diet. The control margarine (45 g/d) will have the same fatty acid composition as the test
margarine. The Portfolio treatment diet will have a similar fatty acid and macronutrient
profile to the control treatment diet. Low-fat Dairy and egg protein sources will be
replaced with soy (approximately 45 g/d) protein. Foods will include soy dairy foods
(milks, yogurts & cheese), and meat analogues made from soy isolate (dogs and burgers etc)
and tofu products. The fiber will include at least 15 g viscous fiber daily from oats,
barley, dried beans, peas, lentils and psyllium cereal. Plant sterols (1g/1000 kcal diet)
up to 3g/day will be recommended from the test margarine provided which will be consumed up
to a quantity of 40 g/day. A control margarine in the same quantity (25-40 g/d) will be
provided to the participants in the control group. Almonds (22g/1000 kcal), the FDA
recommended dose for cholesterol reduction) will also be included in the diet. The protein
and fiber components will be individualized as much as possible to achieve study goals while
satisfying individual preferences. The portfolio diet will be prescribed at two levels of
reinforcement. In one portfolio cohort, the advice will be general and provided on 2
occasions over a 6 month period. For the second portfolio cohort, the advice will be much
more intensive and provided on 7 occasions (total of 8 visits) over a 6 month period.
Participants in the control and less intensive portfolio treatment groups will be seen at
weeks 0, 12, 24 and optionally at 36 and 52 weeks. While participants in the intensive
portfolio treatment group will be seen at two-weekly intervals for the first month and then
monthly for the next five months (with a final visit at 6 months) and at two monthly
intervals thereafter (if study is extended to 12 months) to ensure the diet plan is
acceptable. Participants, in the intensive advice group, will be provided with self-taring
scales on which to weigh all food to be consumed.

Trial information was received from ClinicalTrials.gov and was last updated in February 2015.